SearchMarylandMedical Physician Assistant

Mike Destine

NPI 1679995674 · on the registry since 2014

Practice

Address
5401 Old Court Rd
Randallstown, MD 21133
Phone
(914) 618-2312
Organisation at this address
Bridginglife, Inc
Bridginglife, Inc.
Northwest Hospital
Carroll Health Group, Llc
Drs Hicken Cranley Taylor Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
211

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Sex
Male
Record last updated
2014-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland